Compassion in primary and community healthcare

Hordern, Joshua

doi:10.1201/9781315155487-5

Cited by 17 publications

(5 citation statements)

References 12 publications

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“…With awareness and recognition, action followed. This reinforces the understanding of compassion in health care as participative in nature (Hordern, 2017) with the orientation towards action in response to suffering that differentiated compassion from other constructs such as empathy or sympathy (Sinclair, Norris, et al, 2016). The form the response to suffering took was varied and not always explicit.…”

Section: Discussionsupporting

confidence: 59%

“…Drawing on theological, philosophical and political perspectives of the concept, Hordern (2017) describes compassion in terms of the demonstration of intelligent compassion which participates in suffering and "deploys up-to date clinical evidence, seeks justice, rejoices in mercy and shows critical sensitivity to locality and culture" (p. 32). This description builds on the positioning of compassion as not simply an appropriate response, but a virtuous and emotionally intelligent response to suffering.…”

Section: What Is Compassion?mentioning

confidence: 99%

“…Compassion has been described as a controversial concept (Goetz et al, ) that is complex, sensitive (Dewar et al, ), difficult to explain and define (Kneafsey, Brown, Sein, Chamley, & Parsons, ) with attempts to understand and analyse compassion present within philosophical, sociological and evolutionary theories. Drawing on theological, philosophical and political perspectives of the concept, Hordern () describes compassion in terms of the demonstration of intelligent compassion which participates in suffering and “deploys up‐to date clinical evidence, seeks justice, rejoices in mercy and shows critical sensitivity to locality and culture” (p. 32). This description builds on the positioning of compassion as not simply an appropriate response, but a virtuous and emotionally intelligent response to suffering.…”

Section: Introductionmentioning

confidence: 99%

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Embodying compassion: A systematic review of the views of nurses and patients

Durkin

Usher

Jackson

2019

Journal of Clinical Nursing

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Aims and objectives To provide a review of empirical research investigating how compassion is expressed by nurses and received by patients in hospital settings. Background Compassion is viewed as an important and fundamental part of a health professional practice. Universally, reports from both media and government agencies have addressed perceived deficits of compassion in healthcare with nurses accused of a lack of compassion. Research into compassion to date has largely focused on the problematic nature of compassion such as burnout, fatigue and other negative personal and work‐related outcomes. Design A systematic literature review of empirical research guided by a meta‐ethnographic approach supported the systematic comparison and translation of the included studies. Six online databases were searched from January 2006–December 2016. Methods This review was carried out according to the PRISMA‐P reporting guidelines. How compassion in healthcare was defined was extracted alongside findings on how compassion was expressed by nurses and received by patients. Synthesis of the research was completed resulting in new interpretations. Results Eleven papers met the inclusion criteria and were included in the review. Multiple differing definitions of compassion in healthcare were applied. Nurses embody and enact compassion through behaviours such as spending time with patients and communicating effectively with patients. Patients experience compassion through a sense of togetherness with nurses. Conclusion Existing research demonstrated dissonance between the expression of compassion by nurses and how compassion is experienced by patients. The themes identified in this review should be considered by health professionals providing patient care. Relevance to clinical practice Health providers should acknowledge and account for the time that nurses need with patients to demonstrate compassion in practice. Nursing education relating to the expression of compassion should articulate both the subjectivity and ambiguity of the term and examine the relationship between compassion and suffering.

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Section: Discussionsupporting

confidence: 59%

Section: What Is Compassion?mentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Embodying compassion: A systematic review of the views of nurses and patients

Durkin

Usher

Jackson

2019

Journal of Clinical Nursing

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“…By this account, it is a person's or institution's order of love which shapes and directs the compassion which characterises that person or institution ( Hordern 2013a ;cf. Hordern 2013b ;Hordern 2017 ).…”

Section: Carementioning

confidence: 99%

Marketisation, Ethics and Healthcare

Feiler¹,

Hordern²,

Papanikitas

2018

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Weaving together original contributions from law, ethics, theology and economics, this book provides many fresh insights into the vexed questions surrounding markets and healthcare -an integrative tour de force!' Professor Bill Fulford, University of Oxford , UK 'Healthcare marketisation generates superheated controversy. But here is the cool consideration and balanced debate that is needed as a response. This collection is multifaceted, analytically rich and packed with insights.' Professor Alan Cribb, King's College London , UK 'Markets make good servants but bad masters. But what forms of service can they perform and what evils of mastery do they threaten? These wide-ranging essays address those questions in politically and theologically challenging ways.' Professor Albert Weale , UCL , UK 'A signifi cant contribution to bioethics. The topic is timely, the writing brief and clear, and the ideas insightful. It is very balanced, incorporating many perspectives (from Hayek to Marx), and many disciplines (including medicine, economics, philosophy, and theology). I highly recommend it.'

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“…This patient's experience highlights the role of affections in risk communication: not only the role of affections in decision-making by cancer patients ( Slovic et al 2005 ) but also the significance of compassion more generally. Compassion understands the affections of another, seeking to participate and alleviate ( Hordern forthcoming 2017 ). Compassionate clinicians need to be able to explore the right course of action in light of patient perceptions of risk and value, in terms of cultural, religious, philosophical and everyday beliefs; but also, more challengingly perhaps, to be able to communicate the futility of treatment in some circumstances, when the number of anyone's days comes into clearer focus.…”

Section: Self-knowledge and Compassionate Communionmentioning

confidence: 99%

Self-Knowledge and Risk in Stratified Medicine

Hordern

2017

The New Bioethics

Self Cite

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This article considers why and how self-knowledge is important to communication about risk and behaviour change by arguing for four claims. First, it is doubtful that genetic knowledge should properly be called 'self-knowledge' when its ordinary effects on self-motivation and behaviour change seem so slight. Second, temptations towards a reductionist, fatalist, construal of persons' futures through a 'molecular optic' should be resisted. Third, any plausible effort to change people's behaviour must engage with cultural selfknowledge, values and beliefs, catalysed by the communication of genetic risk. For example, while a Judaeo-Christian notion of self-knowledge is distinctively theological, people's self-knowledge is plural in its insight and sources. Fourth, self-knowledge is found in compassionate, if tense, communion which yields freedom from determinism even amidst suffering. Stratified medicine thus offers a newly precise kind of humanising health care through societal solidarity with the riskiest. However, stratification may also mean that molecularly unstratified, 'B' patients' experience involves accentuated suffering and disappointment, a concern requiring further research.keywords self-knowledge, risk communication, values, behaviour change, compassion, stratified medicine This paper considers why and how self-knowledge is important to the communication of risk. In an illuminating lecture at the launch of the University of Oxford's Centre for

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Compassion in primary and community healthcare

Cited by 17 publications

References 12 publications

Embodying compassion: A systematic review of the views of nurses and patients

Embodying compassion: A systematic review of the views of nurses and patients

Marketisation, Ethics and Healthcare

Self-Knowledge and Risk in Stratified Medicine

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